NPIMap

Organization Active NPI

Aleca Home Health Oregon LLC

  • Home Health Agency
  • Salem, OR
National Provider Identifier
1124276118
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALECA HOME HEALTH OREGON LLC
Practice address
1220 20TH St SE Ste 310
Salem, OR 97302-1205
Phone
(503) 954-2197
Fax
(503) 954-2198
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jacob Schaefer
Title
Executive Vice President
Phone
(503) 201-8356

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health Agency 251E00000X OR Primary

Addresses

Primary practice location

1220 20TH St SE Ste 310
Salem, OR 97302-1205

Mailing address

1220 20TH St SE Ste 310
Salem, OR 97302-1205
Phone (503) 954-2197

Other identifiers 1

IdentifierTypeStateIssuer
500653374MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211122000456 OR Part A Provider - Home Health Agency 9739578329 Practice locations: Salem, OR

Home health agency certification: CCN 387158

Legal name
ALECA HOME HEALTH OREGON LLC
Doing business as
ALECA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 29, 2012
Last certification
Jun 29, 2012
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Nov 1, 2021 in OR
Enrollment address
1220 20TH St SE
Ste 310
Salem, OR 97302-1205

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aleca Home HealthCCN 387158
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jun 29, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D1088720Aleca Home Health1220 20TH St, Ste 310, Salem, OR 97302Certificate of waiverJul 26, 2026

National Provider Directory

National Provider Directory

Locations

7412 SW Beaverton Hillsdale Hwy
Ste 201
Portland, OR 97225
Phone (503) 954-2197

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sterling E Short Individual 5% Or Greater Indirect Ownership Interest Dec 9, 2021 11.5%
Corporate OfficerExecutive Vice President Dec 9, 2021
Sante Holdings LLC Organization, Salem, OR LLC 5% Or Greater Indirect Ownership Interest Dec 9, 2021 100%
Operational/Managerial Control Dec 9, 2021 100%
Jacob T Schaefer Individual 5% Or Greater Indirect Ownership Interest Dec 9, 2021 19.5%
Corporate OfficerExecutive Vice President, Cfo Dec 9, 2021
Kevin Jeffers Individual W-2 Managing EmployeeAdministrator Feb 7, 2022
Operational/Managerial ControlAdministrator Feb 7, 2022
Munch Tooke, LLC Organization, Vancouver, WA LLC 5% Or Greater Indirect Ownership Interest Dec 9, 2021 8.59%
Sante Operations, LLC Organization, Salem, OR LLC Operational/Managerial Control Dec 9, 2021 100%
Aaron N Wheeler Individual Operational/Managerial ControlVice President of Community Base Dec 9, 2021
Charles M Hansen Individual 5% Or Greater Indirect Ownership Interest Dec 9, 2021 45%
Corporate OfficerPresident and Ceo; Manager Dec 9, 2021
Corporate DirectorPresident and Ceo; Manager Dec 9, 2021
Sante Partners II LLC Organization, Salem, OR LLC 5% Or Greater Direct Ownership Interest Dec 9, 2021 100%
Operational/Managerial Control Dec 9, 2021 100%
Debra D Wertberger Individual Corporate OfficerCoo Dec 9, 2021
Operational/Managerial ControlCoo Dec 9, 2021
Gregory S Ficek Individual Corporate OfficerVice President, Corporate Contr Dec 9, 2021
Operational/Managerial ControlVice President, Corporate Contro Dec 9, 2021

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 2

DateEventCounterparty
Dec 9, 2021 Change of OwnershipThis provider was the buyer Golden Touch Home Healthcare, Inc.CCN 387158, OR, NPI 1124276118
Dec 9, 2021 Change of OwnershipThis provider was the seller Aleca Home HealthCCN 387158, OR, NPI 1124276118

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1124276118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 20TH ST SE STE 310",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021205",
            "telephone_number": "503-954-2197",
            "fax_number": "503-954-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 20TH ST SE STE 310",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021205",
            "telephone_number": "503-954-2197",
            "fax_number": "503-954-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALECA HOME HEALTH OREGON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "503-201-8356"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500653374",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.